HomeMy WebLinkAboutPermit Mechanical 2001-10-25SPRINGFIELED
Job# 01-01184-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Buitding Safety
Page 1 of 2
Job Number: 01 -01 1 84-01
Office:726-3759
Inspection Line: 726-3769
Tax Lot#: 01900
Subdivision:
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2245 00031st St Spr
AssessorsMap#: 17023021
Lot: Block: Addition:
ctTY oF SPRTNGFIELD, OREGOI'
Owner: Bill Prociw
Address: 2245 31st Street
Scope Of Work: Mechanical
Phone Number:
City/State/Zip:
New
541-741-0680
Springfield, OR97477
Value: $O
lnstall heat pump with air handler
Contractor Type
Mechanical Contr
Contractor
Home Comfort
706 Oscar Street, Eugene, OR 97402
Registration #
84164
Expiration
611
Phone
1 -345-2838
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
Land Use:
Zoning Code:
Bedrooms:
Range:
rtl
after
9J
\
I be mad
$
To request an inspection call the 24 hour recording a1726-3769
a.m. will be made the same working day, inspections requested
working day.
before 7:00
e the following
Requlred lnspections
Mechanical
Rough Mechanical
FinalMechanical
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:
- Prior to cover.
-When all mechanicalwork is complete.
# Of Stories:
Gurrent Units:
Census Code: Does not apply
\\\s
Accessory Total
nits
Job# 01-01184-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit
Administrative Fee - Mechanical
Less than 100,000 BTU
10,000 Cubic Feet or Less
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanica!
1012512001
10t25t2001
1012512001
10t25t2001
1012512001
10t2512001
7090
7090
7090
7090
7090
7090
1
1
$25.00
$3.60
$12.00
$B.oo
$10.00
$3.15
$61.75
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time address is readable from the street.
Sig re Date
$61.7s
/A-zf-e/
,lowing Prol ect as submitted has the following
gpec
1 LOC
LEGAL DESCRTPTIONll aZ 3(52I O I ?cto
JOB D SCRTPTION
IL
Permits are non-transferable and expire
if work is not,started lvithin 180 days
ofissuance or ifwork is suspended for
180 days. -,i:.,
r;l'ri:' l
z. LL-.rL\ t rl.AU I t-.rK lr\J r r\l-LA l].\-.rl\ \Jl\l- r
Electrical
Address
tion Date
Sup ervisin g Electrician
Multi-Family per drvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Ezrch Manufd Home or
Modular Dwelling
Service or Feeder
_ $ 106.00
$ 19.00
$ 50.00 ,
d---.:--- --, E-- .l^---ti. bcif iccs ol'i,ecuei's
Installittion, Alte;
Relocation:
200 amps or
201 amps to
401 anrps
1 amps
Over
"B" above
D. Branch
E. Miscell
Circuit or with
Minimum
4. SUBTO
7%o State Surch
8% Administra
not inclu
s50.00
$50.00:i-
$25.00
$4s.00 _
ction Fee is 545.00 * Surchargcs
qk*--a€-
\--rs9E
TOTAL Saqo
STREET
Su{n
EEfiTI( SERYIff